| NPI | 1730242371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM G TALBOTT Owner 434-984-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: VA 0101034548) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101046855) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2011-03-24 |